Vantage at Sudbury LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VANTAGE AT SUDBURY LLC

Practice address

136 Boston Post Rd
Sudbury, MA 01776-2406

Phone

(978) 443-2722

NPI assigned

Aug 15, 2025

Last updated

Aug 15, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sam Yurowitz

Title

Authorized Official

Phone

(845) 558-2685

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755216000000",
    "number": "1215813043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762406",
            "telephone_number": "978-443-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 BOSTON POST RD",
            "city": "SUDBURY",
            "state": "MA",
            "postal_code": "017762406",
            "telephone_number": "978-443-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANTAGE AT SUDBURY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A",
        "authorized_official_last_name": "YUROWITZ",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "845-558-2685"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.